Rangamati General Hospital | Health Bulletin 2015 |
Preface
It is a great pleasure for me to publish the 4th health bulletin on the Rangamati General Hospital. This health bulletin 2015 contains all health related information of Rangamati General Hospital for the year 2014. I hope all the stakeholders will be benefited from the information given here. And the planners and the development partners will find way to overcome constraints and drawbacks of the institution. By comparing with the previous health bulletin 2014 one can find overall trend in admission and death from various diseases and thereby decide where to give emphasis for betterment of services. As like the previous health bulletin 2014, this bulletin also includes the present status of MDG4 and MDG5 as well as the sanctioned and vacant posts of different staffs. I hope the publication of this bulletin will be continued in the future that will ultimately help improving the health services in the locality.
Rangamati General Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the District Rangamati
Organization Code
10001088
Name of Superitendent Dr. Sneha Kanti Chakma
Land Phone No. 1
0351-035162119
Land Phone No. 2 0351-035163030
FAX No. 0
Mobile No. 01715191373
Email rangamati@hospi.dghs.gov.bd
GPS location in the Hospital Lati: 24.0000 And Long: 94.0000
Rangamati General Hospital | Health Bulletin 2015 | Page# 2
Existing health facilities in the District/General Hospital
Facility Type
Total
No. of Beds
District Hospital
1
100
Rangamati General Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 for the Facility (Jan-Dec, 2014)
No. of Live Births: 597
Total No. of Children Treated under IMCI Program 14,117
Neonatal Mortality Rate (NMR) is 55.28 per 1,000 live births
Rangamati General Hospital | Health Bulletin 2015 | Page# 4
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 for the Facility (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 192
Total Number of Deliveries: 613
No. of Maternal Deaths: 0
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Rangamati General Hospital | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits at District/General Hospital
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
16,528
23,961
40,489
12,151
9,163
21,314
61,803
3,111
1,438
4,549
191
183
374
4,923
No. of Admissions & Deaths at District/General Hospital
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
G. Total
M
F
T (M+F)
M
F
T (M+F)
G. Total
District Hospital
3,190
3,444
6,634
2,013
2,215
4,228
10,862
77
47
124
29
24
53
177
Rangamati General Hospital | Health Bulletin 2015 | Page# 6
Top 10 diseases according to the number of patients admitted in the District/General Hospital during the reporting period
Total number of admitted patients during the reporting period
2,014
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1093
54.27
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
783
38.88
3
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
466
23.14
4
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
478
23.73
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
309
15.34
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
299
14.85
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
195
9.68
8
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
167
8.29
9
O06 Unspecified abortion
XV: Pregnancy, childbirth and the puerperium
165
8.19
10
E10 Insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
151
7.50
Rangamati General Hospital | Health Bulletin 2015 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the District/General Hospital during the reporting period
Total number of Deaths during the reporting period
2,014
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
23
1.14
2
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
19
0.94
3
P071 Other low birth weight
IX: Diseases of the circulatory system
18
0.89
4
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
12
0.60
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
9
0.45
6
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
7
0.35
7
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
6
0.30
8
P36 Bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
6
0.30
9
G039 Meningitis, unspecified
VI: Diseases of the nervous system
5
0.25
10
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
5
0.25
Rangamati General Hospital | Health Bulletin 2015 | Page# 8
Water & sanitation (Whole District)
Indicators
Upazila
Coverage of households having access to safe drinking water (%)
0
Coverage of households having access to sanitary latrines (%)
0
Utilization of services at District/General Hospital
Indicators
Upazila
Total Patient days in 365 days (No.)
27,971
Bed Occupancy Rates (%)
76.63
Average Length of Hospital Stay (No. of days per patient)
13.89
Hospital Death Rate (%)
100.00
Rangamati General Hospital | Health Bulletin 2015 | Page# 9
Surgeries & Interventions done in the District/General Hospital
Type
No.
Major Surgeries
141
Minor Surgeries
360
Rangamati General Hospital | Health Bulletin 2015 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
31
8
2
21
67.74
Non Doctor
0
0
0
0
0.00
Class II
77
2
58
17
22.08
Class III
21
13
2
6
28.57
Class IV
44
31
10
3
6.82
Rangamati General Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Category wise)
Manpower
Hospital total
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
31
10
0
0
Nurse
77
64
2
8
Medical Assistant
0
0
0
0
Medical Technologist
7
5
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 12
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
1
1
0
0
0
X-ray machine (300 mA)
2
2
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
1
1
0
0
0
Dental X-ray unit
1
0
1
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
2
1
1
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
4
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
4
4
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
4
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
6
4
2
0
0
Portable OT Light
6
6
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
8
3
1
4
0
Sucker machine (electric)
11
7
4
0
0
Ventilator
0
0
0
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 13
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
5
2
3
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
2
2
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
16
10
6
0
0
Pulse oximeter
3
2
1
0
0
Dental equipment
Dental unit
4
2
1
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 14
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
5
2
3
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
4
2
2
0
0
Phototherapy unit
4
1
3
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 15
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
2
1
1
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
3
1
2
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 16
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
3
2
1
0
0
Air conditioner (window)
7
4
3
0
0
Generator
Generator (diesel/petrol)
2
0
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
4
1
3
0
0
ICT equipment
Computer (desktop)
5
5
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
0
0
0
0
0
UPS
4
4
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
0
0
0
0
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 17
Existing equipment at District/General Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
3
3
0
0
0
Mobile phone
1
0
1
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
144
95
44
5
0
Rangamati General Hospital | Health Bulletin 2015 | Page# 18
Important information and necessary issues for Rangamati General Hospital
Last year we tried to give optimum services to the beneficiaries. Even if many major surgical cases, some cardiac and pediatric cases had to refer to tertiary hospital . Here I would like to mention some important factors which will help us to give our maximum efforts TO improve the health status and to achieve good results in future. 1. The vacant post specially consultant orthopedic, Post of consultant Cardiology should be created immediately . 2. Doctors and nurses need more training exposure specially on IMCI Cardiology and EmOC . 3. A post of Statistical Assistant should be created to fill MIS data smoothly . Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
